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05 September 2023 | Story Leonie Bolleurs | Photo Supplied
Prof Lesley Green
Prof Lesley Green was announced the winner of the 2023 ASSAf Humanities Book Award in the category ‘Established Researcher’. She delivered a lecture on her book: Rock. Water. Life: Ecology and Humanities for a Decolonial South Africa.

A group of more than 100 academics and students from universities across South Africa and abroad attended the virtual lecture by Prof Lesley Green, winner of the 2023 ASSAf Humanities Book Award in the category ‘Established Researcher’, who discussed her cross-cutting book, titled: Rock. Water. Life: Ecology and Humanities for a Decolonial South Africa. 

The lecture is part of a series focused on the Humanities Book Awards, offering award recipients a platform to discuss the motivation behind their books, the societal impact of their work, and the personal influences that shaped their text. Prof Reddy said that academics and students can anticipate a series of humanities book award lectures in the coming months. 

Prof Vasu Reddy, Deputy Vice-Chancellor: Research and Internationalisation at the University of the Free State (UFS), member of the Academy of Science of South Africa (ASSAf), and member of the Book Award adjudication panel, facilitated the recent (29 August 2023) online 2023 ASSAf Humanities Book Award Lecture. 

Prof Green, Professor of Anthropology and the Director of Environmental Humanities South (EHS) at the University of Cape Town, was announced the winner of the 2023 ASSAf Humanities Book Award in the category ‘Established Researcher’, for which ASSAf received 31 nominations. She received the award at the end of March this year during a ceremony at the Vineyard Hotel in Cape Town.

The first ASSAf Book Prize was awarded in 2017, and since then ASSAf has conferred the award on an individual every two years to recognise and celebrate the significance and impact of well-written scholarly writings on human knowledge and intellectual efforts in South Africa. 

Prof Reddy characterised Prof Green's specific work as an outstanding book that makes a formidable contribution to the field.

Justice-based environmental sciences 

Prof Green’s research centres on justice-based environmental sciences in South Africa, with a particular focus on the relationship between knowledge and democracy in the Global South – a central theme in her award-winning text.

In the three parts of her book, ‘Past Present’, ‘Present Futures’, and ‘Futures Imperfect’, Prof Green explores the interwoven nature of the past, present, and future. Within these three parts, she delves into the fascinating array of identity markers, inequality, racism, colonialism, and environmental destruction in South Africa. 

Prof Reddy noted that the text asserts a need for environmental research and governance to evolve, contributing to addressing South Africa’s deep history of racial oppression and environmental exploitation. “The book also offers an in-depth engagement of environmental conflict, shedding light on matters often overshadowed by daily concerns in contemporary South Africa,” he added. 

The book, linking the humanities and social sciences with the natural sciences and applied sciences, touched on an array of important topics, including the history of contested water access in Cape Town, struggles over fracking in the Karoo, the call for the decolonisation of science (#ScienceMustFall), land restitution versus the politics of soil, contests over baboon management, and the consequences of sending sewage to urban oceans. 

Prof Green has observed the landscape of environmentalism for a couple of years and noticed a series of struggles. “Typically, these conflicts were being presented in highly polemic ways, often showcasing tremendous tension between academic environmentalism and activists on the ground. I noticed recurring patterns – what was being presented as the preferred form of environmentalism was not something I could support. For example, the frack-free Karoo campaign. It left me quite uncomfortable due to the erasure of Khoi and San presence in the Karoo,” she added. 

“So, what kind of environmentalism could I get behind? Questions around a just environmental governance begin to arise for me.”

Property, #ScienceMustFall, and black environmentalism 

During the discussion, Prof Green shared particular images from each section of her book that caused her to pause and reconsider her stance on the type of environmentalism she could support.

“We inherited a way of thinking about the world that was separated from nature and society. We have challenged that division of nature and society in respect of race and racism and sex and sexism, but we have not brought that critique to bear on how we relate to the world. Somehow, under neo-liberal governance, we find ourselves in this space where economics and finance are seen as the hero that will bring it all together. 

These comments merely scratched the surface of Prof Green’s insights into her book – which Prof John Higgins, Emeritus Professor who formerly held the Arderne Chair in Literature at the University of Cape Town (now Senior Research Scholar at UCT), referred to in his closing remarks as a rich description of a magnificent book. According to him, this scholarly book not only circulates and makes knowledge public, but also provides an opportunity to question that very knowledge. 

This marked the first instance where ASSAf combined book selection with a discussion on the chosen book, underscoring the value of scholarly literature.

- In the Emerging Researcher category, Dr Rick de Villiers from the UFS Department of English was a shortlisted candidate for his book, titled: Eliot and Beckett’s Low Modernism: Humility and Humiliation. 

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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